Individual provider Active NPI

Jenna T. Summerhays, FNP-C

  • Nurse Practitioner
  • St George, UT
National Provider Identifier
1558918367
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6626307-4405 Issued in UT
Practice address
2891 E Mall Drive, Ste 101
Saint George, UT 84790
Phone
(435) 656-2424
Fax
(435) 656-2828
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X 6626307-4405 UT Primary

Addresses

Primary practice location

2891 E Mall Drive, Ste 101
Saint George, UT 84790

Mailing address

PO Box 912042
St George, UT 84791-2042
Phone (435) 215-0230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191030002455 UT Practitioner - Nurse Practitioner 0840522579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Spine and Pain Care Specialists LLCGroup PAC ID 6406020049, 42 clinicians

Practice addresses (Care Compare)

25 N 2000
Suite 8
Hurricane, UT 84737-4115
Phone (435) 635-0174

2891 E Mall Dr
Suite 102
St George, UT 84790-2399
Phone (435) 703-2930

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.97 of 100Reported as group
Quality
68.31
Promoting interoperability
86
Improvement activities
40
Cost
73.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6626307-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Spine and Pain Care Specialists, LLC Single Specialty CurrentSince Sep 9, 2019 Accepting new patients
Southwest Spine and Pain Care Specialists, LLC CurrentSince Sep 9, 2019 Accepting new patients

Locations

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

25 N 2000 W
Ste 8
Hurricane, UT 84737
Phone (435) 635-0174

301 N 200 E
Ste 2A
St George, UT 84770
Phone (435) 628-3651

652 S Medical Center Dr
St George, UT 84790
Phone (435) 251-2250

2051 E Red Hills Pkwy
Ste 7
St George, UT 84770
Phone (435) 703-2930

652 S Medical Center Dr
Ste 110
St George, UT 84790
Phone (435) 215-0230

2891 E Mall Dr
Ste 101
St George, UT 84790
Phone (435) 879-7610

Interoperability endpoints

  • Direct secure messaging: jennasummerhays@ssapcsl-ut.direct.office.nextgen.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1558918367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912042",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847912042",
            "telephone_number": "435-215-0230",
            "fax_number": "435-986-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 E MALL DRIVE, STE 101",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-656-2424",
            "fax_number": "435-656-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERHAYS",
        "first_name": "JENNA",
        "middle_name": "T.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "6626307-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.